| NPI | 1962815100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A14499) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 5113) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A14499) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-10-09 |